Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Russellville Family Dentistry PA

Organization General Practice Dentistry · NPI 1508287251

Russellville Family Dentistry PA is a General Practice Dentistry in Russellville, Arkansas. Licensed in Arkansas. Registered with an NPI since 2013.

Licensed in
AR
In the registry since
2013
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

104 N Utah Ave
Russellville, AR 72801-2740
Phone: (479) 968-1706
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 3895 (AR)

Record details

NPI number1508287251
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Kitchens — President · (479) 968-1706
NPI enumeratedDecember 25, 2013
Last updated in NPPESDecember 25, 2013
Mailing address104 N Utah Ave, Russellville, AR 72801-2740

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